ECG Basics & Fundamentals: reliability of computer interpreted “Normal ECG” by the ECG machine

ECG Weekly Workout with Dr. Amal Mattu


A 64-year-old man with PMHx of HTN and HLD presents to a busy ED with chest pain, shortness of breath, and nausea. There is no immediate bed availability in the department. Triage vitals are normal. The following triage ECG is obtained:

Before watching the video, look closely at this ECG and ask yourself:

  1. When the triage ECG is interpreted as normal by the computer, what is the utility of interrupting an emergency physician to immediately review the ECG?
  2. Do you agree with the computer interpretation?
  3. What would you do if asked to review this ECG?